Organization Name: | PEACH WOOD MANOR RCF |
NPI Number: | 1548394166 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNDA GAIL DACY (CO-OWNER) |
Mailing Address: | Highway 12 Cassville |
State: | MO US |
Postal Code: | 65625 |
Phone Number: | 4178473902 |
Fax Number: | 4178470052 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |